Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique

We describe a technique of scleral IOL fixation and optic centration of in the capsular bag subluxated IOL in a patient of “dead bag syndrome.” A 29-year-old male diagnosed case of thalassemia presented with painless progressive diminution of vision in the left eye following uncomplicated sequential...

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Main Authors: Anchal Thakur, Muskaan Bansal, Divya Challa, Chintan Malhotra, Arun K Jain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=10;spage=3412;epage=3414;aulast=Thakur
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author Anchal Thakur
Muskaan Bansal
Divya Challa
Chintan Malhotra
Arun K Jain
author_facet Anchal Thakur
Muskaan Bansal
Divya Challa
Chintan Malhotra
Arun K Jain
author_sort Anchal Thakur
collection DOAJ
description We describe a technique of scleral IOL fixation and optic centration of in the capsular bag subluxated IOL in a patient of “dead bag syndrome.” A 29-year-old male diagnosed case of thalassemia presented with painless progressive diminution of vision in the left eye following uncomplicated sequential phacoemulsification in both eyes 15 years back. The right eye revealed completely centered IOL with significant amount of anterior capsular opacification (ACO), while the left eye revealed inferior subluxation of the IOL within capsular bag. The capsular bag was dilated, diaphanous with clear anterior and posterior capsule without any evidence of capsular fibrosis or opacification. Thus, a diagnosis of “dead bag syndrome” was made. The haptics were sutured to sclera (Hoffman's pockets) using two loops of 9-0 polypropylene, passed anterior and posterior to IOL haptics within the capsular bag. Postoperatively, the patient had a vision of 20/40 with a centered intraocular lens.
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spelling doaj.art-71b0a36922084e1299a28afe9790b6a72023-10-26T06:49:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-0171103412341410.4103/IJO.IJO_1061_23Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new techniqueAnchal ThakurMuskaan BansalDivya ChallaChintan MalhotraArun K JainWe describe a technique of scleral IOL fixation and optic centration of in the capsular bag subluxated IOL in a patient of “dead bag syndrome.” A 29-year-old male diagnosed case of thalassemia presented with painless progressive diminution of vision in the left eye following uncomplicated sequential phacoemulsification in both eyes 15 years back. The right eye revealed completely centered IOL with significant amount of anterior capsular opacification (ACO), while the left eye revealed inferior subluxation of the IOL within capsular bag. The capsular bag was dilated, diaphanous with clear anterior and posterior capsule without any evidence of capsular fibrosis or opacification. Thus, a diagnosis of “dead bag syndrome” was made. The haptics were sutured to sclera (Hoffman's pockets) using two loops of 9-0 polypropylene, passed anterior and posterior to IOL haptics within the capsular bag. Postoperatively, the patient had a vision of 20/40 with a centered intraocular lens.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=10;spage=3412;epage=3414;aulast=Thakurcapsular delaminationdead bag syndromefloppy capsular bagiol subluxationlens bag complexscleral fixationzonular weakness
spellingShingle Anchal Thakur
Muskaan Bansal
Divya Challa
Chintan Malhotra
Arun K Jain
Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique
Indian Journal of Ophthalmology
capsular delamination
dead bag syndrome
floppy capsular bag
iol subluxation
lens bag complex
scleral fixation
zonular weakness
title Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique
title_full Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique
title_fullStr Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique
title_full_unstemmed Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique
title_short Dead bag syndrome—in the capsular bag subluxated intraocular lens centration and refixation: A new technique
title_sort dead bag syndrome in the capsular bag subluxated intraocular lens centration and refixation a new technique
topic capsular delamination
dead bag syndrome
floppy capsular bag
iol subluxation
lens bag complex
scleral fixation
zonular weakness
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=10;spage=3412;epage=3414;aulast=Thakur
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AT divyachalla deadbagsyndromeinthecapsularbagsubluxatedintraocularlenscentrationandrefixationanewtechnique
AT chintanmalhotra deadbagsyndromeinthecapsularbagsubluxatedintraocularlenscentrationandrefixationanewtechnique
AT arunkjain deadbagsyndromeinthecapsularbagsubluxatedintraocularlenscentrationandrefixationanewtechnique